DEPARTMENT OF INSURANCE

Affiliations

Name	Chaudoin Insurance Services Inc.	DOIID	401021	NAIC NPN	7222846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Workers' Compensation	4/19/1988	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	1/20/2004
Inactive	Resident	Agent	Life	4/19/1988	1/22/2004
Inactive	Resident	Agent	General Lines	3/18/1988	8/15/2000
Inactive	Resident	Agent	Assessment Chapter 299	8/11/1999	12/1/2000
Inactive	Resident	Agent	Casualty	8/15/2000	1/20/2004
Inactive	Resident	Agent	Health	4/19/1988	1/22/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	12/27/1993	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	7/1/2002
Inactive	American Fire and Casualty Company	300567	Agent - General Lines	4/12/1988	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/27/1993	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	7/1/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/25/1999	1/20/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/25/1999	1/20/2004
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Assurance Company of America	300432	Agent - General Lines	2/21/1996	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	7/1/2002
Inactive	Brighthouse Life Insurance Company	301829	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	4/19/1988	1/20/2004
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	4/19/1988	1/20/2004
Inactive	Brighthouse Life Insurance Company	301829	Agent - Workers' Compensation	4/19/1988	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	4/19/1988	3/31/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	4/21/1988	12/11/1996
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	8/11/1999	12/1/2000
Inactive	Generali - U.S. Branch	301128	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	5/18/1994	8/15/2000
Inactive	Generali - U.S. Branch	301128	Agent - Property	8/15/2000	3/31/2002
Inactive	Globe American Casualty Company	301033	Agent - Casualty	8/15/2000	10/16/2001
Inactive	Globe American Casualty Company	301033	Agent - General Lines	11/8/1995	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - Property	8/15/2000	10/16/2001
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	1/6/1995	8/15/2000
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/15/2000	7/1/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/24/1999	12/11/2003
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/24/1999	12/11/2003
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/28/1994	3/31/1998
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	5/17/1996	3/31/1998
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/18/1988	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	7/1/2002
Inactive	Life Insurance Company of North America	300711	Agent - Health	11/10/1992	6/16/1997
Inactive	Life Insurance Company of North America	300711	Agent - Life	11/10/1992	6/16/1997
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	8/10/2002
Inactive	Maryland Casualty Company	301719	Agent - General Lines	2/21/1996	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	8/10/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/6/1997	1/20/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/6/1997	1/20/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Health	5/15/2000	2/3/2003
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/15/2000	2/3/2003
Inactive	National Insurance Association	301386	Agent - Casualty	8/15/2000	10/16/2001
Inactive	National Insurance Association	301386	Agent - General Lines	3/9/1998	8/15/2000
Inactive	National Insurance Association	301386	Agent - Property	8/15/2000	10/16/2001
Inactive	National Summit Insurance Company	300348	Agent - Casualty	8/15/2000	3/14/2002
Inactive	National Summit Insurance Company	300348	Agent - General Lines	5/29/1997	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Property	8/15/2000	3/14/2002
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	4/12/1988	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	4/12/1988	8/15/2000
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	8/15/2000	2/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - General Lines	12/8/1999	8/15/2000
Inactive	QBE Insurance Corporation	300515	Agent - Property	8/15/2000	2/1/2002
Inactive	South Carolina Insurance Company	300080	Agent - Casualty	8/15/2000	7/1/2002
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/23/1998	8/15/2000
Inactive	South Carolina Insurance Company	300080	Agent - Property	8/15/2000	7/1/2002
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/15/2000	7/1/2002
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	6/21/1988	8/15/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/15/2000	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	6/21/1988	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	4/19/1988	3/31/1996
Inactive	Time Insurance Company	300683	Agent - Health	7/6/1988	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	7/6/1988	3/31/1997
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	4/19/1988	3/31/1996
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	4/19/1988	3/31/1996
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/27/1997	1/20/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/27/1997	1/20/2004
Inactive	West American Insurance Company	301112	Agent - General Lines	4/12/1988	8/15/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	11/18/1996	12/31/2001
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	11/18/1996	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/15/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/15/1999	12/31/2001
Inactive	Chaudoin, Diane Hall	386336	Agent - Casualty	8/15/2000	5/29/2001
Inactive	Chaudoin, Diane Hall	386336	Agent - General Lines	3/18/1988	8/15/2000
Inactive	Chaudoin, Diane Hall	386336	Agent - Health	3/18/1988	1/22/2004
Inactive	Chaudoin, Diane Hall	386336	Agent - Life	3/18/1988	1/22/2004
Inactive	Chaudoin, Diane Hall	386336	Agent - Property	8/15/2000	5/29/2001
Inactive	Chaudoin, Sherman Francis	325481	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Chaudoin, Sherman Francis	325481	Agent - General Lines	3/18/1988	8/15/2000
Inactive	Chaudoin, Sherman Francis	325481	Agent - Health	3/18/1988	7/1/2002
Inactive	Chaudoin, Sherman Francis	325481	Agent - Life	3/18/1988	7/1/2002
Inactive	Chaudoin, Sherman Francis	325481	Agent - Property	8/15/2000	7/1/2002
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	11/30/1999	3/1/2001
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	12/31/2001
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	12/31/2001

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Basso, Walter L	378617	Solicitor - General Lines	1/23/1992	1/23/1992
Inactive	Creasey, Betty Gwen	371769	Solicitor - General Lines	3/31/1992	3/31/1992
Inactive	Delawson, Susan Jane	355555	Solicitor - General Lines	3/31/1992	3/31/1992
Inactive	Sewell, David Carlisle	333632	Solicitor - General Lines	8/22/1991	8/22/1991
Inactive	Sewell, Jenny Lynn	326899	Solicitor - General Lines	8/22/1991	8/22/1991